The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

PROPOSED AMENDMENT

20 CSR 2255-1.030 Complaint Handling and Disposition

This amendment allows the board to take disciplinary action for failure to respond to a board request or inquiry.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Respiratory Care

PROPOSED AMENDMENT

20 CSR 2235-2.001 Educational Requirements, Section 337.021, RSMo

This amendment is a clarification and update of timeframes.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than $500 in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED RULE

20 CSR 2220-2.685 Standards of Operation for a Class Q: Charitable Pharmacy

This rule establishes licensing requirements and standards of operation for a Class Q Charitable Pharmacy.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2263-2.082 Continuing Education

This amendment changes continuing education credit requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Social Workers

PROPOSED RULE

20 CSR 2220-2.425 Required Pharmacy Reporting

The purpose of this rule is to establish requirements for reporting compounding information to the Missouri Board of Pharmacy to ensure compliance with state and federal law.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rule will cost private entities approximately thirteen thousand eight hundred seventy-seven dollars and seventy-six cents ($ 13,877.76) annually over the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2234-6.010 Continuing Education

The board is amending subsection (3)(A) which adds the other affected profession of licensed agency investigator employee, subsection (3)(B) adds language allowing the automatic approval of any POST approved course as meeting the CE requirement, and subsection (4)(F) exempts the CE requirement for first time licensees during their first renewal period.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Private Investigators

PROPOSED AMENDMENT

20 CSR 2030-8.020 Professional Land Surveyor—Professional Development Units

This rule is being amended to delete the contact hour requirement for professional development units.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Land Surveyors

PROPOSED AMENDMENT

20 CSR 2030-5.120 Scope of Examination—Land Surveyor-in-Training and Professional Land Surveyors

This rule is being amended to come into compliance with a statutory amendment via HB 2046, effective August 28, 2020.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT

20 CSR 2030-5.160 State Exam Covering Chapter 327, RSMo, the Board Rules, and Ethics

This rule is being amended to come into compliance with a statutory amendment via HB 2046, effective August 28, 2020.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT

20 CSR 2235-2.005 Educational Requirements, Section 337.025, RSMo

This amendment deletes subsection (3)(G) as it is no longer needed as many Missouri universities now issue pass/fail grades.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2235-2.070 Licensure by Reciprocity

This amendment clarifies licensure by reciprocity.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Psychologists

EMERGENCY AMENDMENT

20 CSR 2220-6.040 Administration by Medical Prescription Order

This emergency rule would allow pharmacy technicians to administer vaccines as authorized by the U.S. Department of Health and Human Services during the COVID-19 pandemic.

PUBLIC COST:  This emergency amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST:  This emergency amendment will not cost private entities more than five hundred dollars ($500) in the time the emergency is effective.
Link to Missouri Register This emergency amendment does not have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2220-6.040 Administration by Medical Prescription Order

This amendment updates the rule’s notification requirements and authorizes pharmacists to delegate medication administration to a trained qualified pharmacy technician.

PUBLIC COST:  This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2235-1.020 Fees

The amendment increases the reactivation fee.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities approximately four hundred dollars ($400) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2235-1.025 Application for Provisional Licensure

The committee is deleting extraneous language in regard to the forms required for licensure and adding less restrictive language regarding documentation.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2235-1.026 Application for Temporary Licensure

The committee is deleting extraneous language in regard to the forms required for licensure.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2235-1.030 Application for Licensure

The committee is deleting extraneous language in regard to the forms required for licensure and adding less restrictive language regarding documentation.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2235-1.031 Application for Health Service Provider Certification

The committee is deleting extraneous language in regard to the forms required for licensure.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2235-1.050 Renewal of License

This amendment mandates the collection of workforce data and establishes the obligation of licensees to provide the requested information in order to renew their licenses. The rule is also amended to the assessing of a delinquency fee for each year the license is delinquent.

PUBLIC COST: This proposed amendment will not cost public entities more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2063-2.010 Renewal of License, Inactive License, and Reactivation of License

This amendment adds information regarding the collection of workforce data.

PUBLIC COST: This proposed amendment will not cost public entities more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Behavior Analysts

PROPOSED AMENDMENT

20 CSR 2165-1.010 General Organization

This amendment removes out dated and duplicative requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Hearing Instrument Specialists

EMERGENCY AMENDMENT

20 CSR 2220-5.020 Drug Distributor Licensing Requirements

This emergency rule would waive Missouri drug distributor licensure requirements for entities shipping drugs or vaccines to treat or immunize patients during a state or federally declared disaster or emergency, or pursuant to an emergency use authorization issued by the United States Food and Drug Administration for a public health emergency.

PUBLIC COST:  This emergency amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This emergency amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2220-5.020 Drug Distributor Licensing Requirements

This amendment would waive Missouri drug distributor licensure requirements for entities shipping drugs or vaccines to treat or immunize patients during a state or federally declared disaster or emergency, or pursuant to an emergency use authorization issued by the United States Food and Drug Administration for a public health emergency.

PUBLIC COST:  This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT-

20 CSR 2220-2.120 Transfer of Prescription or Medication Order Information

This amendment would grant board licensees additional time to fulfill prescription transfer requests received from parties/entities other than the patient, provided the transfer is completed in timely manner and a pharmacist ensures no interruption in patient therapy will occur.

PUBLIC COST:  This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT-

20 CSR 2263-1.035 Fees

This committee is adding a verification of licensure fee.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities from five thousand two hundred dollars ($5,200) to ten thousand four hundred dollars ($10,400) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Social Workers

PROPOSED AMENDMENT-

20 CSR 2010-2.041 Eligibility Requirements for the CPA Examination

This rule is being amended to implement the provisions of House Bill 2046 which became effective August 28, 2020.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-2.061 Requirements for an Initial License to Practice

This rule is being amended to implement the provisions of House Bill 2046 which became effective August 28, 2020.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.020 Qualifying Programsn

This rule is being amended to reflect the current edition of the Statement on Standards for Continuing Professional Education (CPE) Programs.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.031 Continuing Professional Education (CPE) Documentation

This amendment clarifies acceptable documentation for qualifying CPE.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Accountancy

PROPOSED AMENDMENT-

20 CSR 2030-4.060 Evaluation—Comity Applications—Architects

This rule is being amended to comply with the recent passage of HB 2046.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT-

20 CSR 2030-4.070 Evaluation—Comity Applications—Professional Engineers

This rule is being amended to comply with the recent passage of HB 2046.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT-

20 CSR 2030-4.080 Evaluation—Comity Applications—Professional Land Surveyors

This rule is being amended to comply with the recent passage of HB 2046.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT-

20 CSR 2030-4.090 Evaluation—Comity Applications—Professional Landscape Architects

This rule is being amended to comply with the recent passage of HB 2046.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT-

20 CSR 2030-5.030 Standards for Admission to Examination—Architects

This rule is being amended to comply with the recent passage of HB 2046.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT-

20 CSR 2030-5.080 Standards for Licensure—Professional Engineers

This rule is being amended to comply with the recent passage of HB 2046.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT-

20 CSR 2030-5.110 Standards for Admission to Examination—Professional Land Surveyors

This rule is being amended to comply with the recent passage of HB 2046.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT-

20 CSR 2030-5.140 CLARB Examinations—Professional Landscape Architects

This rule is being amended to comply with the recent passage of HB 2046.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT-

20 CSR 2234-5.010 Examination

This language changes the number of time someone can take the examination.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration – Private Investigators
Licensing Procedures for Pharmacy Benefits Managers This proposed rule prescribes the license application process and fee required for Pharmacy Benefit Managers. All forms referenced in this regulation may be accessed at the department’s website at www.insurance.mo.gov. This rule is adopted pursuant to sections 374.045, 374.230 RSMo and implements section 375.393, RSMo.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Insurance

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